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Fredonia Pharmacy Inc

Fredonia Pharmacy Inc is a health care provider in Fredonia, KS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 628 Madison St, Fredonia, KS 66736-1338, US
Practice Location Phone620-378-4422
Practice Location Fax620-378-2586
Legal Business NameFREDONIA PHARMACY INC
Other Organization NameFREDONIA PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1942312897
Entity TypeOrganization
Enumeration Date ? Aug 31, 2006
Last Update Date ? Mar 30, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Fredonia Pharmacy Inc

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy 207947Kansas
PharmacyLong Term Care Pharmacy

legacy-id-icon Legacy Provider IDs of Fredonia Pharmacy Inc

Provider IdIssuer StateIssuer TypeIssuer
2032337OtherPK
100439810AKansasMedicaid

official-icon Authorized Official of Fredonia Pharmacy Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Fredonia Pharmacy Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Doug Fowler
Authorized Official Title/PositionPIC
Authorized Official Phone Number620-378-4422